S-KIMOS SKI CLUB NEW MEMBER APPLICATION JACKSON, NH

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S-KIMOS SKI CLUB NEW MEMBER APPLICATION 2017-18 JACKSON, NH WWW.SKIMOS.

1 S-KIMOS SKI CLUB NEW MEMBER APPLICATION JACKSON, NH Applicant's Name: First: Last: Date: Street: City: State:_ Zip: Employer: Occupation: Phone: Home: Work: Cell: Date of Birth: _ / / (necessary for EICSL records) Emergency Contact Name: Phone: Automobile: Make:_ Model: Color: Plate: State: Marital Status: [ ] Single [ ] Married MembershipLevel Note: S-Kimos Constitution Article IX - Married Member Limitation [ ] A - Gold $390 [ ] A - Silver $290 [ ]Affiliate $110 [ ] Alumni $45 [ ] Race $65 [ ] Junior Race $25 [ ] Mail $25 [ ] Honorary/Life [ ] New Application [ ] Renewing Member [ ] Status Change ClubParticipation: The success of the S-Kimos Ski Club depends entirely on the support given to the club by its members. Each member is encouraged to actively participate in club activities, both social and organizational. S- Kimos Executive Board members occasionally need help planning and executing club activities. Please select one or more areas of participation in which you would be interested in providing assistance. [ ] Lodge [ ] Membership [ ] Newsletter [ ] Historian/Photographer [ ] Reservationist [ ] Webmaster [ ] Racing [ ] Social Events [ ] Secretary [ ] Fund Raising/Events [ ] EICSL Rep ClubSkiRacingActivities: I am interested in participating in Inter-Club Slalom Ski Racing as a member of the S-Kimos Ski Team: [ ] Yes [ ] No Ski racing is not a requirement for membership in the S-Kimos ski club, but the S-Kimos have a long history of fielding one of the strongest ski racing teams in the Mount Washington Valley. Racing with the S-Kimos is first and foremost meant to be fun, but it requires a commitment to attend at least 2 out of 4 qualifying races. Racers of all skill levels are invited to participate. If you do well in your division you may also be invited to race in the championship race. (The S-Kimos ski club pays the race fees of its racing members.) While it is customary for photos of our club activities to be posted on the members-only section of Skimos.com, it is the policy of the Skimos Ski Club to not post our members photographs on any media sites (Facebook, Meetup, etc) without the consent of the member. YES I permit S-Kimos use of my photograph on these sites for marketing purposes. NO I do not want my photograph posted to websites outside of Skimos.com

2 Discount Lift Tickets: During October, the S-Kimos Members are permitted to pre-purchase a limited number of discount ski lift tickets through Eastern Inter-Club Ski League (EICSL) for local ski resorts. Tickets will be distributed on a firstcome/first served basis. The Discount Ticket Form can usually be found in October on the S-Kimos web site at or see EICSL s web site, Internet Access: and the web site is becoming our main method of communication. Club information is available on the web site at information may be sent via , Newsletter (Igloo Inquirer), or Newsgram Please indicate if you do not have Internet access and an address to receive information electronically. [ ] I do not have Internet accessand/or an address Privacy: By default your contact information will be visible on the Members Only portion of the S-kimos web site; your contact information will available on the Member Info page. This setting may be changed via the Privacy setting on your My Info page once having logged in. [ ] I wish toopt-out and not have my contact information visible to other Club members by default. WinterActivityInterests: Please indicate below those activities in which you enjoy participating [ ] Down Hill Skiing [ ] Boarding/Riding [ ] Cross Country [ ] Snow Mobiling [ ] Snow Shoeing [ ] Winter Hiking [ ] Ice Skating [ ] Keepin' Warm SummerActivityInterests: Please indicate below those activities in which you enjoy participating. [ ] Day Hiking [ ] Over-night Hiking [ ] Road Biking [ ] Mountain Biking [ ] Rollerblading [ ] Tennis [ ] Golf [ ] Sailing [ ] Canoeing [ ] Water Skiing [ ] Running [ ] Front Porch Sittin' SpecialSkills: Please indicate special skills that you may have. This will aid the planning and coordination of maintenance work that must performed at the club. [ ] Carpentry [ ] Plumbing [ ] Electrical [ ] Masonry [ ] Painting [ ] Gardening [ ] Computer/Web [ ] Accounting of my guest(s). I understand that the membership season runs from June 15 through June 14. Please ask for details if necessary. I understand that an "A" member is required to perform 12 work hours at the lodge. Board members are required to complete a 6 hour work requirement. Work requirements must be completed by December 15 for renewing members. Failure to complete the work requirement will result in a $150 fine for "A" members payable no later than December 15. Members may, at their option, choose to simply pay the fine in lieu of performing the work requirement. Failure to perform the work requirement or pay the fine by December 15 may result in guest fees and possible revocation of membership after January 15. Members who join the Club after the last Fall work weekend must complete their requirement at any Spring work weekend prior to the next membership year. I understand that I am responsible for any Club damages that I and/or my guest(s) incur and that I am responsible for any unpaid fees for myself and my guest(s. Also, the Skimos Ski Club is not responsible for personal items lost or damaged at the lodge. During non-ski season from May 1 to November 1, all ski equipment and personal belongings cannot be stored at the lodge. By signing this application, you acknowledge that membership in the S-Kimos Ski Club may not be approved. Further, as a new member, your first year is probationary and your membership may be terminated and all dues and fees paid are nonrefundable. Cause for termination of membership includes, but is not limited to, supplying inaccurate or purposely incomplete information in your application about membership in another EICSL club, inappropriate behavior at any EICSL club or event, incomplete or late payment of dues, or arrest and/or conviction of any criminal offense. Note!! Both Member Release and Indemnification Agreements must be signed and included with your membership application. Signed: Date _ Mail Application, Dues &, Releases to: Sharon Gazley 56 Winthrop Shore Dr Winthrop, MA To receive your lodge key you must include a self-addressed stamped envelope with your Note to Renewing "A" members: application. Membership questions: Call Cynthia King (508) _ membership@skimos.com

3 Member Release and Indemnification Agreement In consideration of being permitted to become a member of, or to continue my membership of, the Skimos Ski Club, I, individually and collectively on behalf of myself, my successors and assigns: 1. Hereby release, waive, discharge and covenant not to sue the Skimos Ski Club and each of the other member clubs of the Eastern Inter-Club Ski League, Inc., and the affiliates, successors and predecessors, as well as the officers, directors, delegates, employees, shareholders, attorneys, agents, representatives, members and assigns of the foregoing (hereinafter, collectively Releasees ), of and from any and all liability to the undersigned for any and all loss or damage, and any claim or demand therefore, on account of any injury to the person or property of the undersigned, or to the person or property of any of my guests, whether caused by negligence of any one or more of the Releasees or otherwise; 2. Hereby agree to indemnify, hold harmless and exonerate the Releasees from any loss, liability, damage or cost they may incur due to, or as a result of, the actions of the undersigned, as well damages sustained by the undersigned; 3. Hereby assume full responsibility for and risk of bodily injury due to the negligence of the Releasees while on property owned by one or more of the Releasees, while participating in activities sponsored by one or more of the Releasees or as a result of participating in activities sponsored by one or more of the Releasees. This is a release of liability. By signing this, I am agreeing, among other things, not to bring any legal action of any kind against any of the Releasees, and to indemnify the Releasees for any legal action of any kind asserted by anyone else for damage caused by me, or for damage sustained by me. I acknowledge that I have read the foregoing and voluntarily agree to the terms thereof. Signed under seal this day of, 20 Member Signature Member Name Printed

4 S-KIMOS SKI CLUB MEMBERSHIP RATES Membership application copy KEEP THIS PAGE Membership Season (June 15 to June 14): th th Membership Level (1) Annual Cost Lodging Fees (Summer-May 1st -Nov 30th /Winter -Dec 1st - Apr 30th) Key Required Work Hours/or Fines Eligible to participate in the Racing program Honorary/Life None None n/a None Yes A Gold $390 $0 / $0 Yes 12 hrs or $150 Yes A Silver $290 $10 Yes 12 hrs or $150 Yes Affiliate $110 $15 / $25 N None Yes Race $65 $30 / $35 No None Yes Alumni $45 $30 / $35 No None No Summer Club (2) $40 $0 / n/a No None n/a Mail (2) $25 $20 / $25 No None No Guest $ 0 $30/ $35 n/a n/a n/a (1) Note: S-Kimos Constitution Article IX - Married Member Limitation (2) Summer club membership runs from Memorial Day to Labor Day weekend first year only. These members can apply for full membership at the first board meeting in September with a discount of $40 from their membership fees. Summer and Mail membership will not have membership in Eastern Inter-Club Ski League (EICSL). of my guest(s). I understand that the membership season runs from June 15 through June 14. Please ask for details if necessary. I understand that an "A" member is required to perform 12 work hours at the lodge. Board members are required to complete a 6 hour work requirement. Work requirements must be completed by December 15 for renewing members. Failure to complete the work requirement will result in a $150 fine for "A" members payable no later than December 15. Members may, at their option, choose to simply pay the fine in lieu of performing the work requirement. Failure to perform the work requirement or pay the fine by December 15 may result in guest fees and possible revocation of membership after January 15. Members who join the Club after the last Fall work weekend must complete their requirement at any Spring work weekend prior to the next membership year. I understand that I am responsible for any Club damages that I and/or my guest(s) incur and that I am responsible for any unpaid fees for myself and my guest(s. Also, the Skimos Ski Club is not responsible for personal items lost or damaged at the lodge. During non-ski season from May 1 to November 1, all ski equipment and personal belongings cannot be stored at the lodge. By signing this application, you acknowledge that membership in the S-Kimos Ski Club may not be approved. Further, as a new member, your first year is probationary and your membership may be terminated and all dues and fees paid are nonrefundable. Cause for termination of membership includes, but is not limited to, supplying inaccurate or purposely incomplete information in your application about membership in another EICSL club, inappropriate behavior at any EICSL club or event, incomplete or late payment of dues, or arrest and/or conviction of any criminal offense. Membership questions: Call Cynthia King (508) membership@skimos.com Skimos Web Site and Lodge Reservation:

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